I have been hypo for 20 years and on synthroid. Am currently on .125. Had bloodworkdone in july and tsh was undetected.
Just was rechecked yesterday
Tsh now 0.015
T3 3.87
T4 1.12
Vitamin d was excellent
Endocrinologist said i might have autoimmune thyroid. What is that? Not sure. She is having me split one .125 in half one day a week. Then recheck in 6 weeks.
Help!!
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Ajbinnc
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Do you have ranges for those results? Because the FT4 and FT3 look rather low.
And, what are you taking? 125 mcg synthroid? If so, that's a rediculous dose your endo has you on! I suppose she's trying to raise your TSH, without paying any attention to the Frees! Which is rediculous! The TSH is irrelevant once you are on thyroid hormone replacement. It doesn't matter how low it goes. And, by trying to raise it, she is going to lower your Frees, and make you ill.
Of course you might have autoimmune thyroiditis - aka Hashi' - most of us have. Why doesn't she just check the antibodies, and find out? The TSH is even more unreliable when you have Hashi's. In fact, you need it suppressed. Your endo really doesn't know much about thyroid, does she. I would ask for a second opinion, if I were you.
No, not .125 mcg. That would be a miniscule dose. 125 mcg, surely. Half of that would be 62.5. Once a week would work out at 8.9 mcg a day! You might just as well not take it!
Why would she do that? Because she's an idiot? I can't think of any valid clinical reason.
FT4 1.12 (0.62 - 1.94)
FT3 3.87 (2.77 - 5.27)
Your Frees aren't even mid-range, so there's no way you're over-medicated. On this stoopid dose, they are going to plummet below range, making you very sick. I think you should fire this endo immediately, and find one that has a clue what she's doing.
Life with Hashi's is much the same as life with any other form of hypothyroidism. You take thyroid hormone for the rest of your life, and you expect to get worse, until the time comes that your thyroid is completely destroyed. You can delay that point by keeping your TSH suppressed. Your endo obviously has no idea about that!
To diagnose Hashi's, there are two antibody tests : TPO and Tg antibodies. If either or both of those are over-range, you have Hashi's.
Oh! OK! Well, that does change things. And that's not what I understood from your original post. lol Well, that's not going to change very much, is it. If she thinks that's going to raise your TSH, I think she's got a shock coming. And, it probably won't have any effect on the Frees, either. As I said, that works out at 8.9 mcg a day. Reducing by that much is hardly going to change things at all. But, it still shows that she has no idea what she's doing.
Ask her to test the antibodies, and also your nutrients : vit D, vit B12, folate and ferritin. Most hypos have low nutrients, due to low stomach acid, but you need optimal nutrients to be able to use thyroid hormones.
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